Nakano T, Yamamoto T, Fujioka H, Maeda J, Iwahashi N, Tamura S, Hada T, Higashino K
Third Department of Internal Medicine, Hyogo College of Medicine, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1990 Apr;28(4):605-11.
Five patients with chronic pulmonary diseases (3 pulmonary emphysema, 1 chronic respiratory failure caused by old tuberculosis, 1 diffuse panbronchiolitis) showed a marked increase of plasma angiotensin-I and PRA level, which was accompanied by an increase of angiotensin-II level, however, whose systemic blood pressure was not elevated. The intravenous infusion of angiotensin-II-analogue (1-Sarcosine, 8-Isoleucine-Angiotensin-II) elicited an antagonistic blood pressure response resembling Bartter's syndrome.
5例慢性肺部疾病患者(3例肺气肿、1例陈旧性肺结核所致慢性呼吸衰竭、1例弥漫性泛细支气管炎)血浆血管紧张素I和肾素活性水平显著升高,同时血管紧张素II水平也升高,但其体循环血压未升高。静脉输注血管紧张素II类似物(1-肌氨酸,8-异亮氨酸-血管紧张素II)引起了类似巴特综合征的拮抗血压反应。